Rupture of abdominal aortic aneurysm associated with long-term steroid therapy - A case report

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• 作者：Hajime Mizukami ; Shuichi Hara ; Masamune Kobayashi ; Shirushi Takahashi ; Shinjiro Mori ; Fumi Kuriiwa ; Tatsushige Fukunaga
• 关键词：Aortic aneurysm ; Necrosis of the media ; Acute aortic dissociation ; Long-term steroid therapy ; bronchial asthma ; medico-legal autopsy
• 刊名：Legal Medicine
• 出版年：January, 2014
• 年：2014
• 卷：16
• 期：1
• 页码：33-35
• 全文大小：1562 K

文摘

We report an autopsy case of bronchial asthma patient with a specific abdominal aortic aneurysm. The aneurysm did not show arteriosclerosis, and a specific saccular morphology was noted above the bifurcation. Histologically, necrosis of the media resembling acute aortic dissociation was observed. However, angiitis was ruled out. In addition, the aneurysm showed a cicatrized, old intimal crack in addition to the rupture site, suggesting repeated failures. The long-term steroid therapy-related fragility of the arterial wall may have been involved in the etiology of the aneurysm.